A Little Respect To Avoid The Blues… Brothers?

In her famous song Respect (have a listen while we chat), Aretha Franklin provides us with a perfect segue to the next letter in our F.I.N.E.R. mnemonic – a convenient way to remember what makes a good research question. We covered N for Novel last time and today we will go over E for Ethical.

Everyone has an idea of what they consider to be “right”. Ethics is a branch of philosophy that focuses on studying what is morally right and wrong in our society. Setting standards to live by that will be in everyone’s best interest. More importantly, ethics also involves the continuous effort of studying our own moral beliefs and our moral conduct, and striving to ensure that we live up to these standards that are reasonable and solidly-based.

Now The Blues Brothers may not have operated with completely ethical methods but you should when you perform research. Wondering what the Blues Brothers have to do with any of this? Watch the trailer and you will see Aretha singing “R-E-S-P-E-C-T”. She wants to be treated “right” just as your subjects will in your study.

 
When you think of your research question be sure to consider whether your study will pose unnecessary physical or emotional harm to your subjects – human or otherwise. If you are unsure then you should discuss your question with someone from your institution’s ethics review committee.

But what if you are doing research on your own for fun and are not sure? Ask Mom, she’ll know.

 
Next time we will chat about R for Relevant
 
 
See you in the blogosphere,
 
 
Pascal Tyrrell

New Gold Dream: Is It that Simple?

What a great album from Simple Minds. Ahhh, the 80’s. Their title track New Gold Dream should get you in the mood for the next letter in our F.I.N.E.R. mnemonic – a convenient way to remember what makes a good research question. We covered I for Interesting last time and today we will go over N for Novel

 
Your pocket protector in place and armed with an interesting research question that you think is feasible, you are now stuck wondering if the research path you are about to take will satisfy the next criteria: is it novel?

 

The whole idea behind research is to contribute new information. 

 


No need to 
reinvent the wheel. You want to save your precious energy and time for answering a question that will move you forward in your area of science. 

 
 
 
 
So, how do you know it is novel? Here are a few suggestions you can try:
 
1- Review the scientific literature. And then review it again. Not sure how to get started? Talk to a librarian at your institution.
 
2- Get out there and talk to people about your research idea. Experts in the field will be happy to chat (most of the time anyway!) and may give you insider knowledge about the area of research. How about having lunch with friends/colleagues and ask them what they think. I did exactly that yesterday (shout out to Sindhu Johnson!) and what did I find out? That my ideas were well received and that there is at least one person who thinks I am on the right track. Perfect. Who’s next?
 
 
Now though you want your question to be as original as possible don’t throw out the baby with the bath water. Often building on previous work or simply confirming it can be important. For instance assessing whether findings in one population also applies to others. This is often the case in pediatric research.
 
Having the new gold dream is always a great way to start. Just keep in mind what makes a good research question. Next time we take on ethics…

See you in the blogosphere,

 
 
Pascal Tyrrell

Gwen Stefani Has No Doubt… Do You?

So, in my last post I introduced F.I.N.E.R. as a convenient way to remember what makes a good research question. We covered F for feasible and today we will go over I for Interesting


What is important when dreaming up a research question is to make sure that you are interested and engaged. This is what will provide you with the energy, drive, and determination to overcome the many hurdles and frustrations that will invariably stand in you way on your path during the research process.


Gwen may have No Doubt about what she is interested in. But do you? How will you gauge how interesting your question is? Easy – talk to people about it. One of the problems new researchers have with their research questions is that they Don’t Speak (great song!) with others during the planning process. Ask as many mentors, experts, family members, friends, colleagues as you can about your question. All that feedback will help you determine whether it is worth your precious time and effort to pursue that research.


Don’t be shy to ask people their opinion and don’t be take it personally if you get negative feedback. It is all part of the process. You can’t expect to have everyone interested but you can certainly try your best to have many. 


Try early on in your research career to find a Person of Interest (well maybe not that kind of person) or someone who you value their opinion and are friendly with to act as a sounding board to your ideas before you move on outside the “inner-circle”. You can even repay the favor to them for their research endeavors. Hint: choose wisely…






Next is N…




See you in the blogosphere,


Pascal Tyrrell

What Makes a F.I.N.E.R. Research Question? F is for…

Fugitive? Well that is certainly how you can feel when out with your friends and knowing you should be home studying for your upcoming stats 101 exam. Not sure how that feels? Watch the trailer from the fantastic movie The Fugitive.


Now that you are well versed in dreaming up research questions and driving everyone around you nuts, I thought I would chat a little about how you can assess whether you have a good one “on the line” or a stinker.


A great mnemonic suggested by Hulley et al is F.I.N.E.R. and suggests that research questions need to be feasible, interesting, novel, ethical, and relevant. Today we will talk about the first one.




F is for FEASIBLE. When you are creating a research question you must always ask yourself: “Can I answer this question?”. There are many reasons that may stop you from completing your quest to answer a given question. Maybe not as dramatic as in the Quest for Camelot, but it is important to take note of your limitations:


1- Do you or other members of your team have the know-how or technical expertise to plan, execute, and analyze the study required to answer your question? Maybe you need to brush up on your skills before embarking on your adventure… or phone a friend!


2- Can you afford the time to complete your quest? Do you have the money to pay for it? Gold wins wars not soldiers (Game of Thrones season 1)! Always plan ahead so that your study does not get compromised or cancelled because you don’t have the money or the time to continue (summer student projects often fall pray to this).


3- Do you have access to enough subjects to appropriately power your study? Sample size calculation is a fun and challenging topic and we will address this in later posts. If you want to know how many of your classmates – say 100 – want to go camping over the weekend to celebrate the end of the school year, how many should you ask before you are confident it will be worth your effort to organize the trip? All of them? Some of them? But how many…


4- Are you asking too much at once? Is the scope of your research question too broad? Focus on the most important goals. 




Don’t become a “Jack of all trades and master of none“! Aim for a better answer to the main question that you are interested in.













Next post we will move on to I…

See you in the blogosphere,


Pascal Tyrrell



The Importance of Research

There’s more to the field of medical imaging than a bunch of stuffy radiologists huddled around a couple of monitors. As I mentioned before in my previous post about the history of the imaging technique, the field has undergone a rapid technological advancement in the past century or so, improving the clinical model of visualization. But let’s take a step back from all the scientific stuff for a brief second and look at these developments in a
slightly different light.

During the early stages of medical imaging, X-rays were able to provide people with an initial view of the internal structure of the human body. As limited as that first view may have been, it still played a pivotal role in both challenging and changing people’s perceptions on the human body – to the point where these details would eventually become common knowledge. Without all the major advancements in medical imaging, we could well expect to still be living in the dark.
To really hammer this point home, further advancements in the field would only continue to build on our understanding. What was once the accepted view of the human body has now been given a complete overhaul, thanks to the availability of imaging devices able to produce higher-resolution cross-sectional pictures.

The SparkNotes illustrated version of this post
So what’s the common thread in all of this? Research, of course. While the idea of research leading to new and exciting developments is a pretty basic concept in and of itself, it’s still an important one to keep in mind. Although the field of medicine is comprised of many different sectors, even at the base level there are plenty of opportunities to contribute meaningful ideas and suggestions. Just because you’re an undergraduate student, that doesn’t stop you from devising an independent thesis in an area you’re passionate about. Granted, I don’t want to be too idealistic here, given the logistics of funding, but an interesting and relevant pitch to your primary investigator
could go a long way. Who knows, you may find yourself presenting your findings at a research symposium, complete with nifty results and statistics to showcase your efforts.

The bottom line is, a little can go a long way, and if you already have a keen interest in science to start contributing as soon as possible. The entire medical field is driven by people with a knack for research and discovery – and while there’s never a shortage of great minds, there’s always room for more.
Thanks for reading,
Brandon Teteruck

The Order in K-OS and Who’s Dog Is It?

Did you know that Einstein is also known to have contributed significantly to statistical physics? In 1905, he proposed an explanation for the phenomenon called Brownian motion – named after the botanist Robert Brown who first described the process. Essentially, particles suspended in a fluid (liquid or gas) exhibit a random motion (path) resulting from their collision with the quick atoms or molecules in the gas or liquid. This is the K-OS or more appropriately “chaos” of the process. Have a listen to The Dog Is Mine from K-OS to get you ready for some Einstein talk.


The problem with understanding Brownian motion is that the molecules are too light to move the floating particle and molecular collisions occur way more frequently than the observed jiggles.

 
Einstein’s genius was to realize that though collisions occur frequently, they are so light there is no visible effect but… occasionally, by pure luck, a bunch of hits from one particular direction leads to a noticeable jiggle. Cool. So when he studied this phenomena he found that despite the chaos there was a predictable relationship between the molecules (speed, size, and number) and the frequency and magnitude of jiggling. This is the order of the process. Maybe not like in the Godzilla – Nature Has An Order movie, but more in the the arrangement of things in relation to each other according to a particular pattern type order.


What is the take home message? That much of the order we perceive in the world around us is dependent on an invisible underlying disorder. Words of caution: though random variation can lead to orderly patterns, these patterns are not always meaningful. (See previous posts: Rebel Without a Cause and What Does the Fox Say for some hints on how not to be fooled) 

So what is the link between Einstein and The Dog is Mine K-OS song? The dog named Einstein from the Back to the Future movie, of course!



See you in the blogosphere,




Pascal Tyrrell

The Key to Research: (Key)Words

Do you ever hear a good song on the radio, catch some of the lyrics, and try to type in those lyrics into Google or Youtube to find that particular song you rocked out to on the way home? When that happens and you Google it, do you ever count  how many options you need to pass until you hit the right song? 


Yes, you are not the only one, many people use Google to further explore some of the things they have come across throughout daily encounters. For each instance google is used, whether it be for a song or for neuroscience research and analysis, one thing remains in common: keywords. 


Keywords are essential when searching for various types of information, and the options appearing on any search engine are dependent on the keywords given. How does one establish appropriate keywords for a search engine entry? 
For instance, if one wants to find out more about medical imaging, perhaps using those exact words would give one a head start in finding information. If one wants to find out about the modalities of medical imaging, typing in ‘modalities of medical imaging’ may also be helpful as well. The tricky part becomes when searching for specific uses and studies of the use of those modalities, in medical papers. In any medical search engine, like PubMed, keywords can make or break a search, and are very specific, as the many sections of medical imaging involve many specific factors and details that differ from each study. So next time you decide to search something, whether it be as general as ‘medical imaging’ or specific as ‘cost effective analysis of CT scans,’ just remember that those keywords may give you what you need, or lead you to a place you don’t want. 
Keep (re)Searching!




Faith Balshin 
Follow us on Twitter! @MiVIP_UofT  

What Does The Fox Say?

I have often talked about “inferential statistics” in this blog. Don’t remember? Have a quick peek here If Only I Had a Brain and here It’s Cold Out Today – Please Remember to Dress Your Naked P-Value.


Back in the saddle? OK. Lately, I have had the pleasure of addressing young minds (shout out to CAGIS who were AWESOME on Saturday at our Sunnybrook Health Science Center presentation) and I thought I might talk a little about what “inferential” means to statistics.


So What Does The Fox Say? And does Ylvis have the answer? Listen to the song while you read through the rest of the post. We live in a crazy complex world that is largely random and uncertain. This is a good thing as it would be mighty boring to know how everything will turn out in the future. Imagine sitting in the middle of the forest and counting and recording the sounds of ALL animals that pass you – by species! Wow, that’s a lot of data. Now as new research scientists (don’t forget to wear your Pocket Protector before heading out into the woods!) we like ways to describe and make sense of what we observe – we simply want to understand the world better or maybe we are working on a answer to our newly minted Research Question


Either way you are certainly thinking where does the randomness and uncertainty come into all this? Well, it exists in two places:


1- Most importantly, in the process of what you are interested in studying.


2- But also in how we collect our data (collection and sampling methods).


So you now have an incredible amount of data in your spreadsheet or on little pieces of paper in a shoe box. What now? You have gone from the world around you to data in your hand. You need to somehow capture the essence of all of your data and turn it into something more concise and understandable. You do this by finding “statistical estimators” which means performing appropriate statistical analyses. The results from these analyses will allow you to estimate, predict, or give your “best educated guess” at the answer to your research question.


So by going from the world to your data, and then from your data back to the world is what we call statistical inference.


For example after collecting many days worth of data in the woods, you find that all “furry” creatures make a a kind of barking sound whereas all “feathered” creatures chirp. Excited, you tell your friends that the next time that they are in the woods and they see a furry creature they can expect to hear them bark. However, we do not know that for sure and this is where the uncertainty creeps in.



Ylvis seems to think the fox says:”Ring-ding-ding-ding”. Maybe his data collection and sampling technique was different to yours. This contributes to error and we will talk about this in a later post.




Hopefully you do not feel like you are in the movie “Inception” and… we’ll see you back in the blogoshere soon.




Pascal Tyrrell









A Crash Course in Medical Imaging

Oddly enough, there’s been a surprising lack of content about medical imaging on a blog with medical imaging in its title. So in order to fill that void, I’ll be providing a brief history on the development of the clinical technique used to visualize the human body.

The advent of medical imaging dates all the way back to 1895, following the discovery of X-rays by the German physicist, Wilhelm Conrad Roentgen. The first X-ray picture was then produced, detailing the skeletal composition of his wife’s left hand. However, the actual quality of this imaging process was still very primitive, only allowing for the visualization of bones or foreign objects.

    Much to Dr. Roentgen’s pleasure, Mrs. Roentgen
    had not discarded her wedding ring
    It was not until the 1920’s that radiologists would develop a more effective method of visualization. This process, known as fluoroscopy, involved either an oral or vascular injection of a radio-opaque contrast agent, which would travel through the patient’s gastrointestinal track. Radiologists could then take films tracking the agent, allowing them to view blood vessels and digestive tracks alike.

      By the 1950’s, imaging procedures progressed towards nuclear medicine, involving radioactive compounds. These compounds were administered to patients because they could be absorbed by cellular clusters being invaded by tumours. As compounds decayed and emitted gamma rays, the recorded radiation could then be detected by gamma cameras, signalling the location of any cancerous developments. 
          The 1970’s were a period of rapid advancement for the field, as a number of modern imaging techniques were developed for clinical practice such as: 

            • Ultrasound – Uses sound waves that are able to penetrate cellular tissue. Once they reflect off the body’s internal organs, the vibrations generate an electrical pulse which can then be reconstructed into an image. 
            • PET-CT Scan – Positron emission tomography (PET) uses compounds that emit positrons when they decay rather than gamma rays. It is now combined with a computed tomography (CT) device to generate a high-resolution image displaying sectioned layers of the scanned area. 
            • MRI – A Magnetic Resonance Imaging scanner runs a strong magnetic field through the body, aligning hydrogen protons. As the protons return to their original position in the atom, they generate radio waves, which are then picked up by the scanner and used to create an image based on signal strength. 

            Fast-forward to present day and over 70 million CT scans, 30 million MRI scans and 2 billion X-rays have been performed worldwide! The field of medical imaging is still growing by the day, with ongoing research leading to new developments.

              Thanks for reading,

                Brandon Teteruck 

                Researcher’s Dream: Katy Perry Edition

                What happens when you put a famous pop superstar with various Billboard number one hit singles as an endorser for a medical field involving teeth, mouth and gum surgeries? 
                A Katy Perry-odontist!
                And no, I am not insinuating the likelihood of Ms. Perry giving up her “Hard Candy” tour and making her way down to Harvard Med for a doctor of dental surgery specializing in periodontistry, but in reality, when researching, there are a lot of weird combinations of research that actually lead to a plausible conclusion!
                Take cost effectiveness of MRIs, CT scans and ultrasounds. There are many variables pertaining to which machine is more cost effective, but in order to find that out, the research being done with regards to the cost involves stepping OUTSIDE THE BOX and figuring out unique key factors that all contribute to the cost, timing, and effectiveness. One must observe not only the actual cost of the machine, but also the condition the patient is in and the situation of the effected area. In order to look at that, maybe some family history must be dug up. And there you go! A whole research perspective on family history of certain patients, just to figure out cost effectiveness of a certain machine. Weird combination of research if you think about it, but in the end, very effective in reaching somewhat of a conclusion to the research question, just like the medical imaging equipment should be doing in the first place! Do not underestimate the lengths in research it takes to solve the question at hand, and always think outside the box, because you never know what you will find, and someday, maybe Katy Perry will open up her own clinic, and sooth patients with her very own soundtrack!
                Keep Researching and Singing, 
                Faith Balshin 
                Don’t forget to check out MiVIP’s twitter account, @MiVIP_UofT! 
                Comment on what you think are weird research combinations if you dare!